GS1 Healthcare Provider Advisory Council Webinar

Transcription

1 GS1 Healthcare Provider Advisory Council Webinar How Scan4Safety helps to support patient safety - An outstanding experience to every patient, Salisbury Hospitals journey Rob Drag and Lorna Wilkinson May 10 th, 2017

2 Welcome and thank you for attending! Welcome to our May 2017 webinar. Thank you to our guest speakers Rob Drag, Scan4Safety Programme manager and Lorna Wilkinson, Director of Nursing from Salisbury NHS Foundation Trust, UK Some housekeeping for today: - All attendees will be on mute - If you have questions during the presentation, please type them into the questions area and these will be monitored then answered at the end of the call After the webinar: - Within a week, the recording will be posted to: - All previous webinars are also posted to this location, so please feel free to use this resource and share the link GS

3 3 The GS1 Healthcare Provider Advisory Council (HPAC) Focus is on thought leaders and adopters of GS1 Healthcare Standards from the global clinical provider environment. Their final goal is to improve patient safety, cost efficiency and staff productivity through implementation of GS1 standards. A forum for sharing and discussion Identification of projects and case studies A source of expertise and advice About the practical realities of implementation of GS1 Standards in the care giving environment in regards to the impact on clinical care and patient interaction That support the adoption of GS1 Standards in healthcare providers and retail pharmacies For publication, presentation and sharing To those involved in GS1 standards development, the wider Healthcare stakeholder community and senior executives/decision-makers to gain their buy-in and support for implementation of GS1 Standards GS1 2017

4 HPAC Activities Webinars Awards Monthly webinars open to all stakeholders interested in learning about GS1 standards implementation in the care giving environment. pac_webinars Twice per year Provider Best Case Study Award Provider Recognition Award The prize is travel / accommodation to attend the next GS1 Healthcare conference pac GS1 Healthcare also holds two global conferences per year. The next conference will be in Chicago from October 17-19, 2017, with significant Healthcare Provider participation on the agenda. GS

5 Scan4Safety Supporting Patient Safety Our Journey

6 Welcome Rob Drag, Scan4Safety Programme Manager, Salisbury NHS Foundation Trust, UK Lorna Wilkinson, Director of Nursing, Salisbury NHS Foundation Trust, UK

7 Scan4Safety Objectives

8 Background barcoding in retail Stock contamination identified Traceability Speed

9 Background not currently in healthcare 2010 MHRA safety alert: PIP silicone implants

10 Barcoding has transformed the retail sector. We believe it can do the same for the NHS. The introduction of GS1 standards will allow every NHS hospital in England to save on average up to 3 million each year while improving patient care. Carter Report, February 2016

11 Media Coverage

12 Other drivers for change Invasive Procedure Information Prof Tim Briggs - Getting It Right First Time (GIRFT) Carter Point of care traceability

13 Six Demonstrator sites TRUST DERBY TEACHING HOSPITALS NHS FOUNDATION TRUST LEEDS TEACHING HOSPITALS NHS TRUST NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST PLYMOUTH HOSPITALS NHS TRUST ROYAL CORNWALL HOSPITALS NHS TRUST SALISBURY NHS FOUNDATION TRUST

14 About Salisbury Emergency Department Maternity & Childrens Services Diagnostics Surgery Medicine Burns & Plastic Surgery Genetics 14 Spinal Injuries

15 Importance of engagement

16 Why is clinical engagement so important? Scan4Safety isn t another large-scale system change, this is about making modifications to our existing processes and systems to ensure they speak a common language GS1 standards Rob Webb, Director of Procurement and Commercial Services, Salisbury NHS Foundation Trust and Great Western Hospitals People ensure change is successful. People only change their behaviour if they re engaged.

17 What s in a name? NHS eprocurement Strategy GS1 and PEPPOL programme

18 Our approach Procurement Department Engagement 4) Build Clinical Champions/ Convert resistors 3)Test and Learn build confidence 2) Understand areas 1) Generate awareness Bottom Up Top Down 1) Senior Management Support 2) Trust Charter 3) Director of Nursing Virtual Board Member Engagement Procurement Department

19 Our approach

20 Basic engagement principles Keep it simple, avoid technical jargon GLNs GSRNs GTINs Datapools Use Cases PEPPOL Core Enablers 4 Corner Model GDSN Traceability Patient Safety Standards Common ways of working Patient Product Place Process

21 Basic engagement principles Reinforce the message Messages need to be repeated 3-6 times before they are heard. Messages need to be repeated 3-6 times before they are heard. Messages need to be repeated 3-6 times before they are heard.

22 Basic engagement principles Personalise the message How will I benefit from this change?

23 What hooked me in Patient Safety Product Tracking/Product Recall Making sure we have the right patient Making sure we know what was used with which patient, when

24 What hooked me in

25 Barriers to engagement Lack of understanding Competing projects - EPR Time availability of clinicians Seen as a procurement project Resistance to change

26 Credibility - Use the resources available Videos Website Benefits figures Case studies Facts and figures Peer testimonials DH Workspace

27 Converting resistors Face-to-face engagement Credible, factual evidence hard to dispute Appeal to their competitive side!

28 Success Stories Orthopaedic Consultant resistant to scanning. My team always check Challenging trend towards use of highly expensive product. Presented with the data, clinicians challenged their own practices. Consultants now proactively seeking meetings with Procurement to discuss data.

29 Other demo sites approaches North Tees Champion Programme There are now 126 multidisciplinary Clinical Champions across the Trust: To be knowledgeable about the programme Attend bespoke training sessions Act as a resource/advocate within their departments Work closely with project team members on the continuous review of the success of the training programme Rollout awareness and point of care training Troubleshooting, sharing lessons learnt and experience with other Clinical Champions and project leads

30 Patient safety Positive Patient Identification Making sure we have the right patient

31 Where we started from What is Positive Patient Identification? Maximising patient safety by implementing wristband scanning functionality Patient wristband compliance Prior to 2016 wristbands were GS1 compliant. Following launch of New Electronic Patient record in October 16, wristbands no longer compliant. Scanning capability AIDC device supported systems in Trust identified: POET (patient observations) Blood Tracking Both used the MIO handheld device, but no scanning functionality on these. BM Testing Scanning functionality, linear barcodes only

32 Our approach Safe Care Workshops Nursing representation, and Systems Leads Roll-out plan Areas prioritised: Patient observations Blood products BM testing Next areas Catheters and Cannulaes Scanning functionality enabled and tested. Two examplar wards selected. Phased roll-out approach. Wristband audit completed prior to full roll-out, providing key learnings. Testing of new wristband from CSC.

33 Our approach - demo 1 2 3

34 Our approach enabling scanning Device brightness Brightness of scanner flagged as an issue. Firmware installed to reduce brightness. However if too dim, barcodes won t scan. Test, test, test again! Wristband Requirements Neonates softness. Plastic coated wristbands wouldn t scan. Changing wristband printers Zebra Technologies/Dakota.

35 Our approach the importance of the wristband audit Patient safety and clinical engagement First baseline clinical audit of positive patient ID - pre scan4safety Agile quality improvement address any wristband or patient safety issues at source prior to rollout Feedback and benchmark with other demonstrator sites evaluate progress & share learning Promote the benefits of scan4safety with clinical teams

36 Our approach wristband audit scope, methodology and results Scope and methodology 28 in-patient areas Included Spinal unit, Hospice, ITU, CCU, ED, Labour ward, NICU, general and specialist wards Audit standards taken from the patient identification policy Results 305 patients audited in total, average of 11 patients in each area 92% wearing a wristband 76% would scan enabling positive patient identification Similar findings to other demonstrator sites

37 Patient safety Product Tracking/Product Recall Making sure we know what was used with which patient, when

38 Product Data Capture Process Patient & Procedure Wrist band scanned & Procedure selected Staff All levels included Products Including expiry date/lot number Time Theatre Time

39 My team always check What is the risk out of date products are used in Procedures? 10,019 Products (Individuals) on shelf in Orthopaedics? Orthopaedic Implants March % 2% 1% 2% Expired 1 Month 2 Months 3-6 Months Over 6 Months 89% Outdated stock indemnification stops once product exceeds expiry date 8 % Risk?

40 Product Recall Link Improving Product Recall processes by directly linking patients to products at point-of-use. Allowing revision of policies and process maps to reflect new capabilities. Future Developments Expand Surgery implementation to perpetually improve product traceability. Continue working with MHRA/GS1 Healthcare User Group to improve national processes and create further guidance documents.

41 Information is now building

42 Clinical staff feedback The recent implementation of the Scan4Safety project in Cardiology provides us for the very first time complete traceability of products such as implantable medical devices used with our patients. Knowledge is power not only does this provide us with a level of data and insight that can be used to better challenge clinical practice and variation, helping us to reduce inefficiencies and improve patient experience and outcomes more importantly it ultimately helps to safeguard our patients from avoidable harm. In the event of a product recall, we can now easily and quickly track an affected product to the right patient. Tim Wells, Consultant Cardiologist, Salisbury NHS Foundation Trust

43 Key Benefits Reduced stock wastage Reduced stock levels Automated stock ordering Cash releasing HSJ Roundtable on Procurement, July 2013 The NHS procures 1.7m different items Positive patient Released Improved identification clinical time to product 61 Trusts purchased 1750 different cannulae care traceability Increased efficiencies One Trust bought 177 different types of rubber gloves

44 Hard Benefits Salisbury NHS Trust Reduction: Stock: Pharmacy: 329,296, which equate to a 23.06% of stock holding reduction from 15/16 to 16/17 Theatres: 65,676 in MT, DSU and Anaesthetic Cardiology: 39,000 through stock management, reducing over-stocking Cash Releasing: Cost Avoidance: Orthopaedic: 51,893 for Stryker for the exchange of out-of-date stocks Staff Releasing: Estates: 11,000 for 1 FTE released Contract Negotiation: Procurement: 9,100 for software renegotiation Other Imminent Benefits To Follow: Cash Releasing: Loan Kit Reduction: 12,833 Standardisation: Scorpio Swap: 70,000 Total Financial Benefit (Cumulative): 522, ,799 One off Benefit 11,000 Reoccurring

45 Overview of Benefits Based on the initial findings from the six demonstrator sites, it is estimated that for a typical NHS Hospital Trust, the benefits could be: Reduction of inventory Averaging 1.5 million per Trust, or 216 million across the NHS Derby: 1.2M annually through reduced consumption in theatres Reduction of stock holdings Leeds: 812K reducing the amount of stock holdings Ongoing operational efficiencies 2.4 million per Trust annually, or 365 million across the NHS

46 Scan4Safety has the potential to save lives and up to 1 billion for the NHS over the next 7 years.

47 #scan4safety

48 HPAC Questions and contact details Els van der Wilden Director Healthcare Providers GS1 Tel GS